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Missouri rates for HCPCS E1172

Amputee wheelchair, detachable arms (desk or full-length) without footrests or legrest

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.65 / $781.80 / $1,041.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.19 / $743.01 / $783.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.94 / $840.94 / $840.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.59 / $840.94 / $840.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.81 / $531.65 / $6,143.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.99 / $575.50 / $1,135.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.03 / $573.40 / $1,145.50